Fraser, Laura Ann

Fraser, Laura Ann is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se Suite 100, Gainesville GA 30501-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fraser, Laura Ann can be contacted via phone (770) 535-3611.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Suite 100 Gainesville GA 30501-3834
Phone: (770) 535-3611
Fax: (770) 535-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN112888 Georgia

Profile Details

NPI number 1538128988
LBN Legal business name Fraser, Laura Ann
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538128988 NPPES
Georgia MEDICAID 00760317

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